早期颅骨修补术及脑室腹腔分流术治疗脑外伤的临床效果分析

Effect Analysis of Early Cranioplasty and Ventriculo-peritoneal Shunt in Treatment of Cerebral Trauma

目的分析早期颅骨修补术及脑室腹腔分流术(VPS)治疗脑外伤中的临床效果。方法选择2009年9月—2011年11月我院颅骨缺损并发脑积水患者60例,将其随机分为对照组和观察组,各30例。对照组先行VPS,3～6个月后再行颅骨修补术;观察组第1次手术后3个月左右行VPS及颅骨修补术。观察两组术后格拉斯哥昏迷评分(GCS)、格拉斯哥预后评分(GOS)及术后并发症情况。结果观察组术后GCS优良率、GOS恢复良好率高于对照组,术后并发症发生率低于对照组,差异均有统计学意义(P<0.05)。结论早期行颅内修补术及VPS治疗脑外伤,可提高术后恢复率、降低并发症发生率。

Objective To analyze the clinical effect of early cranioplasty and ventriculo - peritoneal shunt in treatment of cerebral trauma. Methods 60 cases of skull defect and hydrocephalus in our hospital from September 2009 to November 2011 were randomly divided into 2 groups both with 30 cases. The control group underwent VPS, 3 - 6 months after cranioplasty ; the observation group after the first Operation 3 months VPS and cranioplasty. Two groups were observed after the glasgow coma scale （GCS）, glasgow outcome scale （GOS） and postoperative complications. Results The patients in the observation group GCS the excellent and good rate, GOS recovery rate was higher than the control group, the incidence of complications was lower than the control group, the difference had statistical significance （P 〈 0. 05）. Conclusion Early intracranial repair and VPS for traumatic hydrocephalus, can improve the postoperative recovery rate, reduce the incidence of complications.